How Can I Metabolize Juvederm Faster?

Juvederm is a hyaluronic acid based filler, which is temporary and can last up to one year in the face. Good news is in the lips it does not last that long and it can be dissolved with hyaluronidase. Bad news is Juvederm usually takes more hyaluronidase to dissolve it. This is an easy procedure but can be unpopular if not performed by the injector because you are making your problem another physicians problem. You can try massage which may help break up and smooth the Juvederm, but if you want it dissolved quickly get a hyaluronidase injection.

Good luck.

Thank you for your question! Juvederm can be dissolved very easily with hyaluronidase. I suggest you find a plastic surgeon or dermatologist who offers this.  Best of luck!Dr Dhaval PatelDouble Board Certified Plastic SurgeonChicagoHoffman EstatesOak Brook

Hyaluronidase is the best way to get rid of the Juvederm, but if you don't want to get it then you can ask your injector if massaging will help. Please find out how to massage the area properly, as it can displace the filler.

Hyaluronidase is the best way to get rid of these lumps and asymmetry, but it no injector wants to do it then you may just have to wait it out. You could ask your injector if massaging the area helps break up the product.

If you have specific lumps that are painful or visible then find an experienced Plastic Surgeon or Dermatologist who will assess your problem, offer advice and treatment. The recommendation to allow the product to dissolve with time may be quite appropriate if there is only a minor concern. The risk of treatment with Hyaluronidase or incision and drainage is very small but every treatment or remedy needs to be discussed. The ability to reverse the effect or speed up the disappearance of products like Juvederm with Hyaluronidase is one of the reasons that they are the best and safest filler products to use.

Good Luck,

Dr. Mosher

So sorry to hear about your experience-unfortunately we see a lot of "botched" jobs that we use this enzyme on.  The only agent to neutralize Juvederm after a treatment is an enzyme called Hyaluronidase. I would suggest to inquire before a treatment at your doctor's office if they use the product as a back-up.  I can guarantee you that most offices don't even know it exists. Good luck!!

I am sorry to hear about your outcome with Juvederm injections to the lips. In the early postoperative period, massaging is very effective in shaping and evening out the fill material. At two months after the procedure, the only way to remove the material (Juvederm, Restylane, Perlane) in a quicker fashion is with hyaluronidase injections. Keep searching for a board certified plastic surgeon or dermatologist. I am sure someone will be willing to help. 

If you're bothered by the lumps then you should not give up and continue to seek a board certified dermatologist or plastic surgeon who is willing to inject the hyaluronidase.

Hi Swell in Hotlanta,

You should be able to find a physician who is willing to inject hyaluronidase to dissolve the Juvederm in your lips.  Try William Silver, MD in Atlanta.

Good luck and be well.

Dr. P

Sorry to hear about this outcome.  In the early post injection period, vigorous massage may even out lumps.  However, as time progresses, more invasive options are the only options.  I would suggest keep searching for a doc to inject hyaluronidase.  To my knowledge, there is no other option to remove this.  Good luck!